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Homogeneity of cognitive and behavioural processes underlying the relationship between insomnia and body image disturbance

Specific cognitive behavioural mechanisms related to selective attention, situational avoidance and physical appearance are implicated in the development and maintenance of insomnia and negative reinforcement of body image disturbances. Therefore, we examined whether these processes potentially medi...

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Autores principales: Akram, Umair, Allen, Sarah F., Stevenson, Jodie C., Lazuras, Lambros, Ackroyd, Millicent, Chester, Jessica, Longden, Jessica, Peters, Chloe, Irvine, Kamila R.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8545766/
https://www.ncbi.nlm.nih.gov/pubmed/34170437
http://dx.doi.org/10.1007/s10339-021-01039-0
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author Akram, Umair
Allen, Sarah F.
Stevenson, Jodie C.
Lazuras, Lambros
Ackroyd, Millicent
Chester, Jessica
Longden, Jessica
Peters, Chloe
Irvine, Kamila R.
author_facet Akram, Umair
Allen, Sarah F.
Stevenson, Jodie C.
Lazuras, Lambros
Ackroyd, Millicent
Chester, Jessica
Longden, Jessica
Peters, Chloe
Irvine, Kamila R.
author_sort Akram, Umair
collection PubMed
description Specific cognitive behavioural mechanisms related to selective attention, situational avoidance and physical appearance are implicated in the development and maintenance of insomnia and negative reinforcement of body image disturbances. Therefore, we examined whether these processes potentially mediate the relationship between insomnia and body image perception. N = 728 participants completed self-reported measures of sleep-associated monitoring, insomnia symptoms, body image disturbance and coping with body image challenges. Symptoms of insomnia and sleep-associated monitoring behaviour were independently related to increased reports of body image disturbance, cognitive distortions of body image, appearance fixing (i.e. altering appearance by covering, camouflaging or correcting the perceived defect), avoidance (i.e. attempt to escape or avert stressful body image situations) and reduced levels of positive rationale acceptance (i.e. acceptance of the challenging event and positive self-care or rationale self-talk about one’s appearance). More crucially, sleep-related monitoring on awakening, cognitive distortion of body image and negative coping strategies related to body image (i.e. appearance fixing, avoidance, rationale acceptance) mediated the relationship between reports of body image disturbance and insomnia symptoms. The current findings expand upon previous research demonstrating consistent relationships between poor sleep and increased dissatisfaction with cutaneous features, by providing novel evidence that body image disturbances are associated with symptoms of insomnia. More crucially, we highlight the role of particular cognitive and behavioural mechanisms pertaining to sleep (i.e. selective attention for physical signs of poor sleep) and body image (i.e. avoidance and rationale acceptance) which may be targeted as part of cognitive behavioural treatments.
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spelling pubmed-85457662021-10-29 Homogeneity of cognitive and behavioural processes underlying the relationship between insomnia and body image disturbance Akram, Umair Allen, Sarah F. Stevenson, Jodie C. Lazuras, Lambros Ackroyd, Millicent Chester, Jessica Longden, Jessica Peters, Chloe Irvine, Kamila R. Cogn Process Short Communication Specific cognitive behavioural mechanisms related to selective attention, situational avoidance and physical appearance are implicated in the development and maintenance of insomnia and negative reinforcement of body image disturbances. Therefore, we examined whether these processes potentially mediate the relationship between insomnia and body image perception. N = 728 participants completed self-reported measures of sleep-associated monitoring, insomnia symptoms, body image disturbance and coping with body image challenges. Symptoms of insomnia and sleep-associated monitoring behaviour were independently related to increased reports of body image disturbance, cognitive distortions of body image, appearance fixing (i.e. altering appearance by covering, camouflaging or correcting the perceived defect), avoidance (i.e. attempt to escape or avert stressful body image situations) and reduced levels of positive rationale acceptance (i.e. acceptance of the challenging event and positive self-care or rationale self-talk about one’s appearance). More crucially, sleep-related monitoring on awakening, cognitive distortion of body image and negative coping strategies related to body image (i.e. appearance fixing, avoidance, rationale acceptance) mediated the relationship between reports of body image disturbance and insomnia symptoms. The current findings expand upon previous research demonstrating consistent relationships between poor sleep and increased dissatisfaction with cutaneous features, by providing novel evidence that body image disturbances are associated with symptoms of insomnia. More crucially, we highlight the role of particular cognitive and behavioural mechanisms pertaining to sleep (i.e. selective attention for physical signs of poor sleep) and body image (i.e. avoidance and rationale acceptance) which may be targeted as part of cognitive behavioural treatments. Springer Berlin Heidelberg 2021-06-25 2021 /pmc/articles/PMC8545766/ /pubmed/34170437 http://dx.doi.org/10.1007/s10339-021-01039-0 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Short Communication
Akram, Umair
Allen, Sarah F.
Stevenson, Jodie C.
Lazuras, Lambros
Ackroyd, Millicent
Chester, Jessica
Longden, Jessica
Peters, Chloe
Irvine, Kamila R.
Homogeneity of cognitive and behavioural processes underlying the relationship between insomnia and body image disturbance
title Homogeneity of cognitive and behavioural processes underlying the relationship between insomnia and body image disturbance
title_full Homogeneity of cognitive and behavioural processes underlying the relationship between insomnia and body image disturbance
title_fullStr Homogeneity of cognitive and behavioural processes underlying the relationship between insomnia and body image disturbance
title_full_unstemmed Homogeneity of cognitive and behavioural processes underlying the relationship between insomnia and body image disturbance
title_short Homogeneity of cognitive and behavioural processes underlying the relationship between insomnia and body image disturbance
title_sort homogeneity of cognitive and behavioural processes underlying the relationship between insomnia and body image disturbance
topic Short Communication
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8545766/
https://www.ncbi.nlm.nih.gov/pubmed/34170437
http://dx.doi.org/10.1007/s10339-021-01039-0
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